Mammography Positioning Improvement Collaborative

Improving Performance Together

American College of Radiology Mammography Positioning Improvement CollaborativeSuboptimal mammography positioning is the primary factor leading to technically inadequate mammograms. Poor mammogram quality contributes to undetected breast cancer. In a single-institution study only 67% of images met the positioning criteria set forth by the American College of Radiology. (Pal et al., AJR 2018).

Participants will be encouraged to learn and share ways to create a standardized system for mammography positioning, evaluation and ongoing monitoring, to deliver images that more consistently meet the ACR positioning criteria.

Become a participant and make a difference.

Minimum requirements for participants:

  • A strong interest in improving mammography positioning.
  • Supportive department leaders.
  • An improvement coach with QI experience.
  • A team of engaged front-line staff and leaders.
  • Ability to commit to a nine-month training program.

Resources required:

  • A mammography positioning coach.
  • Tracking and monitoring data.

Project team members (flexible):

  • Radiologist with a breast imaging clinical focus
  • Mammography supervisor or manager
  • Mammography coach (educator)
  • Mammography technologist

Learn more about the application process below. Download one-pager or view the FAQ for more information. 

Apply now


Application deadline
Dec. 20, 2021

Invitation to participate
Jan. 29, 2022

Deadline to commit
Feb. 21, 2022

Pre-program training
Mar. 14, 2022

First program session
April 25, 2022

Nov. 14, 2022

About the Application Process

How do I apply?

Submit an application, available online, to indicate your organization’s interest in joining one or more of the improvement collaboratives. Applications will be accepted through Monday, Dec. 20, 2021, for the first round of improvement collaborative projects.

How will sites be selected?

Upon submitting your application, a program manager will contact you to schedule a 30-minute discussion to review participation requirements and to assess your organization’s readiness to participate in the collaborative and the associated structured learning program. The discussion may include details about your current improvement initiatives, leadership structure and organizational commitment. Sites will be selected based on an organization’s ability to commit to the program and the likelihood of project success.

Can I join more than one collaborative?

Yes. Each participant in a collaborative will require its own project team and leadership commitment. It is important to note that the improvement may require significant changes to processes that can span multiple roles and departments. To give each project and team the greatest chance of success, ensuring dedicated adequate resources and commitment is necessary.

Who can I contact if I have additional questions?

You can email our program team at

Leadership and Advisory Committee

Physician Leader


Advisory Committee 

Sarah Pittman, MDSarah Pittman, MD, Clinical Assistant Professor in the Department of Radiology, Stanford University School of Medicine
  • Stamatia Destounis MD, FACR, FSBI, FAIUM
  • Brett Parkinson, MD
  • Dana Smetherman, MD
  • Margaret Szabunio, MD, FACR, FAAWR
  • Patricia Cowart, RT
  • Louise Miller, RT

  • The Mammography Positioning Improvement Collaborative is one of four improvement collaboratives in the ACR® Learning Network.

    Apply now